Organization
SHRI KRISHAN PC
Active
Other names
CHASE MEDCARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARCHANA RASTOGI MD (PRESIDENT)
(256) 426-8393
Entity
Organization
Contact information
Practice address
5107 MOORES MILL RD, HUNTSVILLE, AL 35811-1007
(256) 851-7190
(256) 851-7189
Mailing address
5107 MOORES MILL RD, HUNTSVILLE, AL 35811-1007
(256) 851-7190
(256) 851-7189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21023
AL
261QP2300X
Primary Care Clinic/Center
21023
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113357
—
AL
Enumeration date
08/16/2010
Last updated
02/03/2011
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